The new text revision (TR) of the DSM 5 includes several important changes:
1. Covert narcissism as well as malignant narcissism finally made it into the text;
2. The DSM 5-TR recognizes the parity between women and men in terms of NPD diagnoses;
3. Pathological narcissism is reframed as compensatory in nature, intended to offset deep feelings of inferiority, shame, failure, and inadequacy;
4. NPD is associated with depression, reactive to self-perception of failure. But, unlike the ICD-11, the DSM 5-TR fails to transition fully from the categorical to the dimensional model of personality disorders and fails to embrace the emerging realization that all personality disorders are mere facets of one underlying condition, a single clinical entity.
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